You must send the following items to Hondata:

ECU
Immobilizer (not needed for 06-08 Civic or 06-07 S2000)
One Key (not needed for 06-08 Civic or 06-07 S2000)
A signed copy of this form
Copy of Dealer purchase order 


Return to stock (Any reflash that is returned to stock, include cashier's check or money order for $75 and key and immobilizer if applicable)

Dealer

Name	(This upgrade must be done through a an Hondata dealer as listed on www.Hondata.com/dealers.html and accompanied by a dealer purchase order. Please do not send payment directly to Hondata.)

Customer (this is the address the ecu will be shipped back to)

Name
Address
City
State
Zip
Email
Phone

Vehicle

Engine Type	(current only K20A, K20A2, K20A3, K24A2-TSX ECUs and 06 F22 S2000 ECUs can be re-flashed)
ECU Serial Number	(located on the ECU by the bar code )
Program	RSX Type-S K20A2-2 (8100 rpm) K20A2-4 (8600 rpm) RSX Type-R K20A (8800 rpm) RSX 05 model K20Z1-05 (8600 rpm) RSX Base Manual K20A3-M1 (6800 rpm) K20A3-M2 (7300 rpm) RSX Base Automatic K20A3-A1 (6800 rpm) K20A3-A2 (7300 rpm) Civic SI K20A3-Si (7700 rpm) Civic SI K20Z3-06/07Si (8600 rpm) Acura TSX K24A2-MT (7600 rpm) 04, 05, 06 K24A2-AT (7600 rpm) 04 & 06 only Acura RDX K23-RDX (7200 rpm) 07   06 S2000 F22- (8500 rev limit/5600 vtec) F22-Toda Header (8500 rev limit/4200 vtec) Return to Stock (ALL) Return to stock

Buyer releases Hondata, Inc. from any liabilities (expressed or implied, arising by law or otherwise) that may occur from the use of products sold by Hondata, Inc. and purchased by Buyer. These products are being sold for "Off Road/Competition Use" only and may be used only on vehicles used solely for "Off Road/Competition". No other applications are intended or implied. The Buyer of this product acknowledges and agrees that Seller disclaims any warranty and expressly disclaims any liability for personal injury or damages or any damages to vehicle or expensed occurred. In the event a manufacturer’s warranty exists, it is agreed and stated that under no circumstances shall the seller or manufacture be liable for any labor charged or travel time incurred in diagnosis for defects, removal, or reinstallation of this product, or any contingent expenses.  It is the Buyers responsibility to ensure the ECU flash program is not overwritten by anyone, including Honda, or any agent of Honda (including Honda/Acura dealers).  Exceeding the factory rev cut rpm may cause engine damage, which may not be covered by any factory warranty.

Please sign and date below to acknowledge that you have been made aware of the fact that the product that you are purchasing may void your vehicle’s factory warranty and you have been advised that this product is not EPA/CARB certified and the product is for "off Road/Competition Use" only. The Buyer will not hold any liability against Hondata, Inc. and will hold Hondata, Inc. harmless from any liability as a result of selling, purchasing and/or installing product.

Signature ___________________________________________ Date  ___________________